Provider Demographics
NPI:1447292834
Name:SMITH, WARREN B (DC)
Entity type:Individual
Prefix:DR
First Name:WARREN
Middle Name:B
Last Name:SMITH
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
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Mailing Address - Street 1:1554 HARRISON AVE
Mailing Address - Street 2:STE A
Mailing Address - City:BUTTE
Mailing Address - State:MT
Mailing Address - Zip Code:59701-4859
Mailing Address - Country:US
Mailing Address - Phone:406-494-2979
Mailing Address - Fax:406-494-2979
Practice Address - Street 1:1554 HARRISON AVE
Practice Address - Street 2:STE A
Practice Address - City:BUTTE
Practice Address - State:MT
Practice Address - Zip Code:59701-4859
Practice Address - Country:US
Practice Address - Phone:406-494-2979
Practice Address - Fax:406-494-2979
Is Sole Proprietor?:No
Enumeration Date:2006-06-12
Last Update Date:2017-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MT944111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor